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TRIBAL PUBLIC HEALTH ACCREDITATION SUPPORT … NIHB PPT June2015.pdfSwinomish Health, Education, and...

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TRIBAL PUBLIC HEALTH ACCREDITATION SUPPORT INITIATIVE: DEVELOPING A STRATEGIC PLAN JUNE 12, 2015
Transcript
  • TRIBAL PUBLIC HEALTH ACCREDITATION

    SUPPORT INITIATIVE:

    DEVELOPING A STRATEGIC PLAN

    JUNE 12, 2015

  • Swinomish

    Coast Salish people

    1855 Treaty of Point Elliott:

    Sovereign nation

    ~1,000 enrolled tribal

    members

    Reservation: ~3,000 acres

    tidelands + ~7,000 acres

    uplands

    Reservation 90%

    surrounded by water

    “When the tide is out,

    the table is set.”

  • Background For many years, Swinomish has been working toward

    developing a public health program

    Recently received a small grant from National Indian Health Board to initiate the public health accreditation process

    Many ways to start; chose to develop a strategic plan of what a “community” health program would look like

    10 Essential Public Health Services

    according to the Public Health

    Accreditation Board

    We are starting here.

  • Strategic Plan Process

  • Swinomish Health-related Depts./ ProgramsPrimary Departments/ Programs:

    Medical Clinic

    Dental Clinic

    Mental Health Counseling

    Services

    Early Education Center (birth to

    K)

    Education Department (K –

    adult)

    Social & Community Services

    Fitness Center

    Senior Services

    Youth Center

    Wellness Program (chemical

    dependency treatment)

    House of Healing (domestic

    violence shelter)

    Connected Departments/

    Programs:

    Office of Emergency

    Management

    Police Department

    Planning (e.g., transportation)

    Fisheries

    Dept of Environmental Protection

    Housing Authority

    Utilities Authority

    Lands Management

    Public Works

    Wildlife and Hunting

    Economic Enterprises

    Communications Dept

    Office of Tribal Attorney

  • Strategic Plan Process

    Swinomish Health, Education, and Social Services Committee

    as advisory board (monthly meetings)

    Met with dept./ program staff and commissioned officer from

    each of identified primary depts. in list, and several in

    secondary depts. (n=20)

    Discussed connections between their program/ dept. and public

    health (community)

    Identified gaps/ needs

    Discussed priorities, desires to see happen, potential next steps

    Identified strategic priorities, goals and objectives

    Drafted plan—circulated for comments

    Then presented to HESS

    Next step: Senate review

  • SWOT Analysis• Strong community

    connection to &

    interest in First

    Foods

    • Well-established

    health programs

    • Strong Swinomish

    gov’t support

    • Enact a CHA

    • Increase

    department/

    community

    connectivity

    • More effective

    community outreach

    with Swinomish

    specific materials

    • Continued assertion

    of sovereignty

    • Lack of connection/

    communication

    between some

    departments/

    programs

    • Limited health codes

    • Low community trust/

    use of some programs

    • Some

    underdeveloped

    programs/ activities

    • Outside government

    agencies controlling

    Swinomish health

    activities/ goals

    • Unprepared for some

    potential/ emerging

    issues (e.g., infectious

    diseases, natural

    disasters)

  • Value statement

    A healthy community encompasses all

    aspects of tribal relationships and tribal

    priorities that affect a community. This

    includes physical, social, mental and spiritual

    health on individual, familial and community

    levels, as well as relations between people,

    the environment, and the spiritual world.

  • Vision

    Develop a community health program that

    supports and enhances current Swinomish health-

    related departments, programs and activities,

    thereby effectively asserting Swinomish self-

    determination about how health is defined,

    assessed, improved and maintained.

  • Mission Statement

    The mission of the Swinomish community

    health program is to create and sustain

    organized community efforts to prevent, identify and counter threats to

    our community’s health and wellbeing.

  • Overarching themes

    We are resilient people. We need to continue to

    preserve our way of life.

    Salmon health is an indicator of

    human/community health, not just tribal

    communities but all our communities in the region.

    Our community health is related to the health of

    our economy and environment.

    Efforts need to be more coordinated (both within

    tribes, among tribes, and with other

    jurisdictions/agencies).

    Need to focus on our elders and youth–emphasize inter-generational roles to protect

    communities.

  • Community-based Indigenous

    health indicators (IHIs):

    Community

    Connections

    Self

    determination

    Balance

    (emotional

    security)

    Natural

    Resources

    Security

    Cultural Use

    Education

  • Begin to populate the plan

    Examples of Swinomish Community Health program

    proposed activities:

    Walking trails with signs about traditional plants in English and Lushootseed

    More activities teaching about first foods

    (traditional foods)

    Increase opportunities for youth-elder interactions

    Work with programs/ depts. to develop effective

    community health ed/ outreach materials for community members

  • Next steps

    Concurrent focus on two parts of the

    essential health services:

    Conduct a community health assessment

    Develop policies and plans (i.e., update

    codes)

    Infectious diseases

    Housing/ Envr Health

    Food Safety

  • Five year timeline

  • Thank you.

    Questions? Please contact:

    Jamie Donatuto

    [email protected]

    (360) 466-1532

    http://www.swinomish-nsn.gov/ihi/

    mailto:[email protected]

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